Telavancin injection cost in Wisconsin

Telavancin injection · HCPCS J3095

Hospital City Cash price Negotiated range Payers
SSM Health Ripon Community Hospital Ripon not published $7.80 – $20.15 5
SSM Health Monroe Hospital Monroe not published $7.09 – $19.31 6
UnityPoint Health - Meriter Hospital Madison not published $7.06 – $7.50 9
SSM Health St. Mary's Hospital - Madison Madison not published $5.61 – $14.19 5
Aurora West Allis Medical Center West Allis not published $6.38 – $18.05 13
Aurora Medical Center Washington County Hartford not published $6.38 – $18.05 13
Aurora Medical Center Summit Summit not published $6.38 – $18.05 13
Aurora Sinai Medical Center of Aurora Health Care Metro Milwaukee not published $6.38 – $18.05 13
Aurora Psychiatric Hospital Wauwatosa not published $6.38 – $18.05 13
Aurora Medical Center Sheboygan County Sheboygan not published $6.38 – $18.05 13
Aurora Medical Center Fond du Lac Fond Du Lac not published $6.38 – $18.05 13
Aurora Medical Center Kenosha Kenosha not published $6.38 – $18.05 13
Aurora Medical Center Manitowoc Two Rivers not published $6.38 – $18.05 13
Aurora Medical Center Grafton Grafton not published $6.38 – $18.05 13
Aurora Medical Center Burlington Burlington not published $6.38 – $18.05 13
Aurora Baycare Medical Center Green Bay not published $6.38 – $18.05 13
Aurora Medical Center Bay Area Marinette not published $6.38 – $18.05 13
SSM Health St. Mary's Hospital - Janesville Janesville not published $5.61 – $14.19 5
SSM Health St. Clare Hospital - Baraboo Baraboo not published $5.61 – $14.19 5
SSM Health Waupun Memorial Hospital Waupun not published $7.80 – $20.15 5
SSM Health St. Agnes Hospital - Fond du Lac Fond Du Lac not published $5.61 – $20.15 8